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WORLD INTELLECTUAL PROPERTY ORGANIZATION 
International Bureau 




PCT 

INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) 



(51) International Patent Classification 7 J 
G01N 33/52, BOIL 3/00 



Al 



(11) International Publication Number: 
(43) International Publication Date: 



WO 00/33074 

8 June 2000 (08.06.00) 



(21) International Application Number: PCT/US99/273 1 1 

(22) International FUing Date: 17 November 1999 (17.11.99) 



(30) Priority Data: 

60/110,331 



30 November 1998 (30.1 1 .98) US 



(71) Applicant: ABBOTT LABORATORIES [US/US]; 

CHAD-0377/AP6D-2, 100 Abbott Park Road, Ab- 
bott Park, IL 60064-6050 (US). 

(72) Inventors: LEWIS, Mark, E.; 39 Lovers Lane, Groton, 

MA 01450 (US). CARAYANNOPOULOS, Leonidas; 
Apartment 2, 929 Broadway, Somerville, MA 02144 (US). 
PARKS, Joel, M.; 13 Ledgewood Drive, Bedford, MA 
01730 (US). AMES, William; 141 Lovell Road, Holden, 
MA 01520 (US). 

(74) Agents: WEINSTEIN, David, L. et al.; Abbott Laboratories, 
CHAD 0377/AP6D-2, 100 Abbott Park Road, Abbott Park, 
IL 60064-6050 (US). 



(81) Designated States: AE, AL, AM, AT, AU, AZ, BA, BB, BG, 
BR, BY, CA, CH, CN, CR, CU t CZ, DE, DK, DM, EE, 
ES, FI, GB, GD, GE, GH, GM, HR, HU, ID, IL, IN, IS, JP, 
KE t KG, KP, KR, KZ, LC, LK, LR, LS, LT, LU, LV, MA, 
MD, MG, MK, MN, MW, MX, NO, NZ, PL, PT, RO, RU, 
SD, SE, SG, SI, SK, SL, TJ, TM, TO, TT, TZ, UA, UG, 
UZ, VN, YU, ZA, ZW, ARIPO patent (GH, GM, KE, LS, 
MW, SD, SL, SZ, TZ, UG, ZW), Eurasian patent (AM, AZ, 
BY, KG, KZ, MD, RU, TJ, TM), European patent (AT, BE, 
CH, CY, DE, DK, ES, FI, FR, GB, GR, IE, IT, LU, MC, 
NL, PT, SE), OAPI patent (BF, BJ, CF, CG, CI, CM, GA, 
GN, GW, ML, MR, NE, SN, TD, TG). 



Published 

With international search report. 

Before the expiration of the time limit for amending the 
claims and to be republished in the event of the receipt of 
amendments. 



(54) Title: MULTICHEMISTRY MEASURING DEVICE AND TEST STRIPS 
(57) Abstract 

A multichemistry measuring device and diagnostic test strips which, in combination 
with the multichemistry measuring device, provide a multichemistry testing system are 
disclosed. The test strips are for chemical analysis of a sample, and are adapted for use 
in combination with a measuring device having a test port and capable of performing a 
multiplicity of testing functionalities. Each type of test strip corresponds to at least one 
of the testing functionalities, and at least some types of test strips have indicators of the 
testing functionality on them. The test port is adapted for use in combination with a 
multiplicity of different types of test strips and includes a sensor capable of specifically 
interacting with the indicators) on the test strips, thereby selecting at least one of the 
multiplicity of testing functionalities corresponding to the type of test strip. 




B 



i 



FOR THE PURPOSES OF INFORMATION ONLY 
Codes used to identify States party to the PCT on the front pages of pamphlets publishing international applications under the PCT. 



AL 


Albania 


ES 


Spain 


LS 


Lesotho 


SI 


Slovenia 


AM 


Armenia 


FI 


Finland 


LT 


Lithuania 


SK 


Slovakia 


AT 


Austria 


FR 


France 


LU 


Luxembourg 


SN 


Senegal 


AU 


Australia 


GA 


Gabon 


LV 


Latvia 


SZ 


Swaziland 


AZ 


Azerbaijan 


GB 


United Kingdom 


MC 


Monaco 


TD 


Chad 


BA 


Bosnia and Herzegovina 


GE 


Georgia 


MD 


Republic of Moldova 


TG 


Togo 


BB 


Barbados 


GH 


Ghana 


MG 


Madagascar 


TJ 


Tajikistan 


BE 


Belgium 


GN 


Guinea 


MK 


The former Yugoslav 


TM 


Turkmenistan 


BF 


Burkina Paso 


GR 


Greece 




Republic of Macedonia 


TR 


Turkey 


BG 


Bulgaria 


HU 


Hungary 


ML 


Mali 


TT 


Trinidad and Tobago 


BJ 


Benin 


IE 


Ireland 


MN 


Mongolia 


UA 


Ukraine 


BR 


Brazil 


IL 


Israel 


MR 


Mauritania 


UG 


Uganda 


BY 


Belarus 


IS 


Iceland 


MW 


Malawi 


US 


United States of America 


CA 


Canada 


IT 


Italy 


MX 


Mexico 


uz 


Uzbekistan 


CF 


Central African Republic 


JP 


Japan 


NE 


Niger 


VN 


Viet Nam 


CG 


Congo 


KE 


Kenya 


NL 


Netherlands 


YU 


Yugoslavia 


CH 


Switzerland 


KG 


Kyrgyzstan 


NO 


Norway 


zw 


Zimbabwe 


CI 


C6te d*Ivoire 


KP 


Democratic People's 


NZ 


New Zealand 






CM 


Cameroon 




Republic of Korea 


PL 


Poland 






CN 


China 


KR 


Republic of Korea 


PT 


Portugal 






CU 


Cuba 


KZ 


Kazakstan 


RO 


Romania 






CZ 


Czech Republic 


LC 


Saint Lucia 


RU 


Russian Federation 






DE 


Germany 


LI 


Liechtenstein 


SD 


Sudan 






DK 


Denmark 


LK 


Sri Lanka 


SE 


Sweden 






EE 


Estonia 


LR 


Liberia 


SG 


Singapore 







WO 00/33074 



PCT/US99/273U 



MULTICHEMISTRY MEASURING DEVICE AND TEST STRIPS 

This application claims priority from the provisional application Serial No. 
60/110,331, filed November 30, 1998. 

Cross-reference to Related Applications 

This application is a co-pending application of an application filed on 
evendate herewith, having a docket number of 6621. US. 01, and entitled 
ANALYTE TEST INSTRUMENT HAVING IMPROVED CALIBRATION AND 
COMMUNICATION PROCESSES, the contents of which are incorporated herein 
by reference. 

BACKGROUND OF THE INVENTION 



1. Field of the Invention 

This invention relates to measuring devices for performing assays for the 
accurate determination of the presence, concentration, or activity of one or more 
analytes in a sample applied to test strips adapted for use with the devices. The 
measuring devices and test strips of the invention are particularly useful in the 
fields of clinical chemistry, environmental testing, and chemical process control. 



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2. Discussion of the Art 

Electrochemical measuring devices that detect the presence, 
concentration, or activity of one or more analytes in a solution are well known in 
5 the art. In addition, disposable electrochemical test strips adapted for use with 
such devices are known in the art. For example, test strips are disclosed in U.S. 
Patent No. 5,628,890; strip electrodes with screen printing are disclosed in U.S. 
Patent No. 5,509,410; and additional strip electrodes with screen printing are 
disclosed in U.S. Patent No. 5,682,884. In such devices, a sample is applied to 

10 the test strip, and the test strip is inserted into a port on the measuring device. 
Such measuring devices and test strips are commercially available for home use 
by diabetics for the measurement of blood glucose (e.g., the PRECISION QID 
blood glucose testing system manufactured and sold by MEDISENSE, Inc., 
Waltham, MA). Other devices are commercially available, for use by home users 

15 or clinicians, for the electrochemical measurement of other blood analytes and 
parameters, such as lactate or urea. However, in the prior art, the measurement 
of multiple analytes or parameters in a sample typically requires the use of 
multiple measuring devices, each adapted for a different testing functionality, or 
a single measuring device in which the user must manually switch the device 

20 between different testing functionalities. 

There is, therefore, a need in the art for products and methods by which a 
user may perform a multiplicity of different assays with a single measuring device 
having a multiplicity of testing functionalities, but without having to manually 
reconfigure or switch between different functionalities of the device, and, without 

25 the need for a complex or expensive port or test strip design. 



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SUMMARY OF THE INVENTION 

The present invention provides a multichemistry measuring device and 
. diagnostic test strips which, in combination with the multichemistry measuring 

5 device, provide a multichemistry diagnostic testing system. The system enables 
a user to perform a multiplicity of different measurements on a sample by 
choosing one of a multiplicity of types of test strips, applying an amount of the 
sample to the test strip, inserting the test strip into a port of the measuring 
device, and receiving the test results from the device. The test strips and the 

10 port are adapted such that each type of test strip bears an indicator that is - 
recognized by the port and that indicates to the measuring device which testing 
functionality is to be utilized. Therefore, the user is not required to manually 
reconfigure or switch the device between different functionalities, and a single 
port and a single measuring device may be employed with a multiplicity of 

15 different types of test strips. 

Thus, in one aspect, the invention relates to diagnostic test strips for 
analysis of a sample. The diagnostic test strips are adapted for use in 
combination with a measuring device having a test port. The measuring device 
is capable of performing a multiplicity of testing functionalities. In this aspect, the 

20 test strip comprises a support capable of releasably engaging the test port; at 
least one reaction area on the support for receiving the sample; and an indicator 
capable of interacting with the test port to select at least one of the multiplicity of 
testing functionalities of the measuring device. In one embodiment, the indicator 
comprises one or more electrically conductive contacts capable of engaging at 

25 least two electrically conductive pins within the test port. In such an 

embodiment, the electrically conductive contacts close at least one circuit 
between the at least two electrically conductive pins within the test port. In 
preferred embodiments, the electrically conductive indicator comprises a material 
selected from: carbon, gold, silver, platinum, nickel, palladium, titanium, copper, 



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or lead. In preferred embodiments, the electrically conductive contacts comprise 
an electrically conductive printable ink. In another embodiment, the indicator 
comprises one or more projections or depressions capable of mechanically 
engaging one or more pins within the test port. In such an embodiment, the 
5 mechanical displacement of at least one of the pins results in the opening or 
closing of at least one circuit. In another embodiment, the indicator comprises 
an optically detectable pattern capable of signaling to or being detected by an 
optical detector in the test port. In preferred embodiments, the optically 
detectable indicator comprises a pattern formed by a printable ink. 

10 In another aspect, the present invention provides a test port for use in a 

measuring device that is capable of performing a multiplicity of testing 
functionalities and is adapted for use in combination with a multiplicity of different 
types of diagnostic test strips. Each type of test strip corresponds to at least one 
of the testing functionalities of the device, and at least some types of test strips 

15 have indicators of the testing functionality on them. In this aspect, the test port 
comprises a sensor capable of specifically interacting with the indicator(s) on the 
test strips, thereby selecting at least one of the multiplicity of testing 
functionalities corresponding to the type of test strip. In one embodiment, the 
indicators on the test strips are electrically conductive, and the sensor of the test 

20 port comprises a multiplicity of electrically conductive pins. In such an 

embodiment, at least two of the pins can be bridged by an indicator, thereby 
closing an electrical circuit. In another embodiment, the indicators on the test 
strips comprise projections or depressions, and the sensor of the test port is a 
pin that may be physically displaced by or into the indicators, thereby opening or 

25 closing an electrical circuit. In another embodiment, the indicators comprise an 
optically detectable pattern, and the sensor of the test port is an optical sensor. 

In another aspect, the invention provides a measuring device having a 
multiplicity of testing functionalities for chemical analysis. The device is adapted 
for use in combination with a multiplicity of different types of test strips. Each of 

30 the types of test strips corresponds to at least one of the testing functionalities, 



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and at least some of the types of test strips have indicators of the testing 
functionality on them. The device includes: a test port including a sensor 
capable of interacting with the indicators on the test strips to select at least one 
of the multiplicity of testing functionalities; and a multiplicity of test circuitries for 
5 specifically measuring reactions on the test strips, the reactions corresponding to 
the multiplicity of testing functionalities. 

, In some embodiments, the assay may detect the presence, concentration, 
or activity of one or more of the following in a sample: L-amino acids, alcohols, 
aldehydes, ketones, urea, creatinine, xanthines, sarcosine, glucolate, pyruvate, 

10 lactate, fructosamine, methylamine, carbon monoxide, cholesterol, hemoglobin, 
glycated hemoglobin, microalbumin, high density lipoproteins, low density 
lipoproteins, and glucose. 

In some embodiments, the reaction area includes one or more reagents 
adsorbed to the support. The reagents are capable of reacting with an analyte in 

15 the sample. In preferred embodiments, the reagent is selected from, but not 
limited to, one of the following: glucose oxidase, lactate dehydrogenase, 
peroxidase, and galactose oxidase. 

In some embodiments, the test strip further comprises a multiplicity of 
electrically conductive testing contacts capable of transferring current between 

20 the reaction area and the measuring device. In certain of these embodiments, 
the testing contacts are located on a first major surface of the test strip, and the 
indicator contacts are located on a second major surface of the test strip. In 
other embodiments, the testing contacts and indicator contacts are located on 
the same major surface of the test strip. In preferred embodiments, the testing 

25 contacts comprise a conductive material selected from, but not limited to, carbon, 
gold, silver, platinum, nickel, palladium, titanium, copper, or lead. 



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BRIEF DESCRIPTION OF THE DRAWINGS 

FIG. 1 depicts possible configurations of electrically conductive indicators 
for five different types of test strips, adapted for use with a test port having three 
5 pins. 

FIG. 2 depicts possible configurations of mechanical indicators for four 
different types of test strips, adapted for use with a test port having two pins. 

FIG. 3 depicts possible configurations of optically detectable indicators for 
four different types of test strip, adapted for use with a test port detecting optical 
10 characteristics at two locations. 

FIG, 4 depicts a side cut-away view of a test port and test strip in which 
the indicators are electrically conductive. 

FIG. 5 depicts a side cut-away view of a test port and test strip in which 
the indicators are mechanical. 

15 

DETAILED DESCRIPTION OF THE INVENTION 

The invention provides measuring devices for performing assays for the 
accurate determination of the presence, concentration, or activity of one or more 

20 analytes in a sample applied to test strips adapted for use with the devices. The 
multichemistry measuring device and test strips of the invention have particular 
utility in fields including, but not limited to, clinical chemistry, chemical process 
control, and environmental testing. For example, the multichemistry measuring 
device and test strips can be used in clinical chemistry to determine the levels of 

25 particular analytes (e.g., glucose, cholesterol, urea, creatinine) in body fluids 
(e.g., whole blood, serum, urine), in environmental testing to determine the 
presence or concentration of pollutants (e.g., PCBs) or biohazards (e.g., 
bacteria, virus), or in chemical process control for monitoring the progress of a 



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process by detecting the presence, concentration, or activity or various adducts, 
edducts,or other parameters (e.g., pH, salinity). 

In particular, the present invention provides methods and products for use 
therewith by which a user may perform a multiplicity of different assays with a 
5 single measuring device having a multiplicity of testing functionalities, but without 
the need for manually reconfiguring or switching between different functionalities 
of the device. By eliminating the need for the user to manually set the device 
when changing from one test to another, the present invention provides for 
increased convenience and speed of use, and reduces the likelihood of human 

10 error. To achieve these ends, the invention employs a multichemistry test port 
that is capable of recognizing various diagnostic test strips having different 
testing functionalities. Each type of diagnostic test strip comprises a different - 
indicator (or indicators) that enable the test port to differentiate it from other types 
of diagnostic test strips. When the user inserts the test strip into the test port, 

15 the test port will identify the corresponding functionality of the device and 
automatically reconfigure or switch the measuring device to the appropriate 
functionality. 

In one embodiment, the overall system comprises an electrochemical 
measuring device comprising a multichemistry test port in electrical 

20 communication with a multiplicity of different testing functionalities. The test port 
is capable of releasably engaging various diagnostic test strips having different 
testing functionalities. The diagnostic test strip comprises at least two test 
electrodes (a reference electrode and a working electrode) and a reaction area. 
When a fluid sample is added to the reaction area, the sample brings the 

25 reference electrode into electrical communication with the working electrode. 
When a diagnostic test strip is releasably engaged in the test port, the working 
electrode and the reference electrode are brought into electrical communication 
with at least one of a multiplicity of circuits corresponding to the different testing 
functionalities of the measuring device. The indicators on the test strip 



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determine which of the multiplicity of circuits corresponding to the different 
testing functionalities of the measuring device is activated and employed. 

Diagnostic Test Strips 

At minimum, the test strips of the invention comprise a support, which 
receives the sample and releasably engages the test port. The support bears 
one or more indicators that correspond to the testing functionality of the test 
strip. The support can be produced from materials including, but not limited to, 
PVC or other plastics, ceramic materials, or printed-circuit-board laminates. In 
preferred embodiments, the support is substantially flat and elongated with the 
indicators at or near a first end, and a reaction area at or near a second end. 

In preferred embodiments, the assay to be performed is electrochemical 
in nature, and the test strip further comprises electrically conductive testing 
contacts in electrical communication with the reaction area and extending toward 
the first end. In such embodiments, the testing contacts are capable of 
transferring current between the reaction area and the measuring device. The 
testing contacts can be composed of, but are not limited to, conductive materials, 
such as, for example: carbon, gold, silver, platinum, nickel, palladium, titanium, 
copper, and lead. 

In general, the reaction area in such embodiments typically comprises a 
conductive electrode coated with a mixture of a catalytically active enzyme and 
an optional mediator compound, and is preferably further coated or covered by a 
permeable retaining membrane. The enzyme and optional mediator compound 
can be coated in separate layers. When such a coated electrode is contacted 
with a sample containing an analyte for which the enzyme exerts a catalytic 
effect, the analyte of interest passes through the permeable retaining membrane 
and reacts with the enzyme and mediator compound (when present) to produce 
an activated form of the mediator compound. The activated mediator compound 
transfers electrons to the electrode to produce a signal, which is correlated with 
the concentration of the analyte. In other embodiments, a mediator compound is 



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not necessary, and the reaction between an analyte and an enzyme produces a 
product (e.g., hydrogen peroxide) that is capable of transferring electrons to the 
electrode. Thus, in one particular embodiment, the analyte may be glucose and 
the catalytically active enzyme may be glucose oxidase, and the measuring 
device and test strips of the invention may be used to ascertain the 
concentration of glucose in a fluid sample such as blood. In a second particular 
embodiment, the analyte may be lactate and the catalytically active enzyme may 
be lactate dehydrogenase, and the measuring device and test strips of the 
invention may be used to ascertain the concentration of lactate in blood. 
However, in these different particular embodiments, the measuring device must 
employ different testing functionalities or circuitries with the different test strips. 
Therefore, it is vital to the proper functioning of the system that the measuring 
device perform the correct testing functionality when a particular type of test strip 
is inserted into the multichemistry test port. 

As stated previously, the invention provides a multiplicity of test strips 
capable of performing a multiplicity of diagnostic tests, but which can be used 
with a single measuring device having a single test port, without the need for 
manual reconfiguration or switching between different testing functionalities of 
the device. The invention provides for indicators on the test strips, which 
indicators can be recognized by a sensor within the multichemistry test port in 
order to ascertain the testing functionality that the measuring device should • . .. 
perform. For the purposes of this invention, the term "indicator" refers to any 
pattern of information capable of being recognized by the test port, including the 
absence of any discernible pattern (i.e., a "null" pattern). The types of indicators 
employed in the present invention include, but are not limited to, mechanical, 
electrical, and optical indicators, as well as any combinations thereof. 

In a particularly preferred embodiment, the indicators comprise electrically 
conductive patterns on a major surface of a test strip. In this embodiment, when 
the test strip releasably engages the test port, the indicator comes into contact 
with a plurality of electrically conductive pins in the test port. Depending upon 



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the pattern of the indicator, a circuit between one or more pairs of the pins may 
be closed or "shorted" by the conductive material of the indicator. The 
measuring device detects which circuits, if any, are closed by insertion of the test 
strip, and selects the testing functionality appropriate for that type of test strip. 
5 In an alternative embodiment, the indicator comprises a pattern of 

projections or bumps on a major surface of the test strip, and the test port 
includes a plurality of pins that can mechanically engage the indicator portion of 
the test strip. When inserted into the test port, the projections of the indicator 
may physically displace one or more of these pins. In one embodiment, the pin 
10 or pins may be displaced such that they are brought into electrical 

communication with one or more conductive elements, thus closing one or more 
circuits. In another embodiment, the pin or pins may be in electrical 
communication with one or more conductive elements before insertion of the test 
strip, and may be displaced by the indicator upon insertion into the test port, thus 
15 opening one or more circuits. The measuring device detects which circuits have 
been opened or closed by insertion of the test strip, and selects the testing 
functionality appropriate for that type of test strip. In a related embodiment, the 
indicator may comprise a pattern of indentations or holes (rather than projections 
or bumps) in the test strip. In such an embodiment, the test port includes a 
20 plurality of pins, which pins mechanically engage the indicator portion of the test 
strip and are displaced in the absence of a indentation or hole. Thus, pins that 
are brought into register with the indentations or holes fail. to be displaced by the 
insertion of the test strip into the test port, and, just as the pattern of 
displacement of pins by projections conveys information, the pattern of non- 
25 displacement by indentations conveys information and serves to identify the type 
of test strip and its functionality. 

In another embodiment, the indicator comprises an optically detectable 
pattern printed on a major surface of the test strip. Again, for the purposes of 
this invention, the absence of a printed pattern may also serve as an indicator. 
30 In one embodiment, the pattern may consist of regions that exhibit higher or 



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lower reflectivity or absorbance, and the major surface of the test strip may serve 
as part of the pattern (e.g., by providing a background reflectivity or absorbance 
that differs from that of a pattern printed in ink). Alternatively, the indictor may 
comprise patterns of different colors, or may even comprise characters. In all 
5 cases, when the test strip is inserted into the test port, optical sensors within the 
test port recognize the pattern and cause the measuring device to select the 
testing functionality appropriate to that type of test strip. 

Multichemistrv Test Ports 

In general, the multichemistry test port serves as an interface between the 
10 test strip and the measuring device. Therefore, for measuring devices 
performing electrochemical assays on samples on test strips, the test ports 
typically comprise two or more testing pins, which are in electrical communication 
with the measuring device. When a test strip engages the test port, the testing 
pins are brought into electrical communication with the test electrodes (i.e., the 
15 reference electrode and working electrode) located on the test strip. The present 
invention, however, provides for additional sensors within the test port, which 
sensors can recognize different types of test strips and cause the multichemistry 
measuring device to switch between different testing functionalities to select the 
testing functionality that is appropriate for the type of diagnostic test desired. 
20 Thus, the test port is capable of detecting an indicator on a test strip and 

causing the measuring device to select from among a multiplicity of testing 
functionalities the functionality that is appropriate for the type of diagnostic test 
desired. 

In a preferred embodiment, the sensor comprises a multiplicity of 
25 electrically conductive pins, which may be brought into electrical communication 
with electrically conductive printed patterns on a test strip when the test strip 
engages the test port. The electrically conductive pattern may close a. circuit 
between one or more of the pins, or may be a "null" pattern, which does not 
electrically bridge any of the pins. Depending on which circuits are closed and 



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which remain open, the measuring device selects the appropriate testing 
functionality to perform on the test strip that has been inserted into the test port. 

In another embodiment, the sensor comprises one or more pins that may 
be mechanically engaged by an indicator when a test strip engages the test port. 
In such an embodiment, the indicator comprises a pattern of one or more 
projections or bumps capable of displacing one or more pins upon insertion of 
the test strip into the test port. Alternatively, the indicator comprises a pattern of 
one or more indentations or holes, which fail to displace one or more pins upon 
insertion of the test strip into the test port. The displacement, or non- 
dispiacement of these pins, may cause the opening or closing of one or more 
circuits. In these embodiments, the measuring device selects the appropriate 
testing functionality according to the pattern of displacement of the pins, and the 
resultant opening or closing of circuits. 

In another embodiment, the sensor comprises one or more optical 
sensors capable of measuring light absorbance and reflectivity. In such an 
embodiment, each sensor measures the absorbance, reflectivity, or color, or 
identifies a character, at different portions of the indicator region when the test ; 
strip is engaged in the test port. Depending upon the readings returned by the 
sensors, the measuring device selects the appropriate testing functionality to 
perform on the test strip. 

Reaction Areas and Circuitries 

The chemical assays performed by the test strips and measuring devices 
of the present invention, along with the test strip reaction areas and associated 
measuring device circuitries, may be adapted or selected from any of those 
already known to those of skill in the art. 

In preferred embodiments, the chemical assays are electrochemical 
assays utilizing enzyme electrodes, and the reaction area comprises a working 
electrode, a reference electrode, and an enzyme that reacts with the analyte to 
be measured. In such embodiments, the working electrode may further 



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comprise a mediator (e.g., ferrocene) capable of transferring electrons between 
the enzyme-catalyzed reaction and the working electrode. In some 
embodiments, the reaction area further comprises a dummy electrode, in which 
the dummy electrode includes the mediator but not the enzyme. 

In preferred embodiments, when the test strip engages the multichemistry 
test port, the working and reference electrodes are put in electrical 
communication with the measuring device. When the sample is added to the 
reaction area (before or after inserting the test strip in the test port), the sample 
bridges the two electrodes, putting them in electrical communication with each 
other, closing a circuit, and placing the sample in electrical communication with 
the measuring device. In some embodiments, one of the testing functionalities 
of the measuring device measures current through this circuit or a change in 
voltage potential. In other embodiments, one of the testing functionalities of the 
measuring device applies current to this circuit and measures resistance. The 
use of such systems to determine presence and concentration of analyte is 
discussed in, for example, U.S. Patent No. 4,545,382, and U.S. Patent No. 
4,71 1 ,245. A sensor system that detects current that is representative of a 
compound in a liquid mixture featuring a test strip adapted for releasable 
engagement to signal readout circuitry is discussed in U.S. Patent No. 
5,509,410. 

In preferred embodiments, the invention is used in clinical chemistry to 
determine the concentrations of several different analytes in a patient's blood. In 
particular embodiments, the invention may be used to determine, for example, a 
patient's blood glucose level, blood lactose level, and blood carbon monoxide 
level in quick succession. In these embodiments, one or more assays will 
require one or more different types of test strips, which, in turn, require different 
testing functionalities to be utilized by the measuring device with the different 
types of test strips. More than one assay may, of course, be conducted with a 
single test strip. Because each type of test strip of the present invention has an 



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indicator which selects the correct testing functionality, no human intervention is 
required to select the correct testing functionality for the different assays. 

In other embodiments, the invention can be used in chemical process 
control to ensure that the concentrations of various reactants or products, or 
other chemical reaction parameters such as pH or salinity, are within certain 
predefined tolerances at various stages of the process. 

In other embodiments, the invention can be used in environmental testing. 
In particular embodiments, the invention. can be used to test water quality. In 
one further embodiment, the invention can be used to detect the presence and 
amount of various pollutants such as sulfuric acid in rainwater. In other 
embodiments, the invention can be used to detect the presence and amount of 
various pollutants in oceans, lakes, ponds, streams, and rivers. In yet other 
embodiments, the invention can be used to measure the amounts of certain 
analytes such as chlorine in a swimming pool. 



EXAMPLES 



Differentiating Two Types of Test Strips 

In one embodiment, the multichemistry measuring device is capable of 
performing two separate electrochemical assays for measuring two different 
analytes, for example, glucose and lactate, present in a blood sample. 
Accordingly, the multichemistry test port is capable of recognizing two different 
types of test strips. The first type of test strip is capable of assaying for glucose 
and has glucose oxidase incorporated into its working electrode. The second 
type of test strip is capable of assaying for lactate and has lactate 
dehydrogenase incorporated into its working electrode. Each type of test strip 



14 



WO 00/33074 



PCT7US99/27311 



requires a unique electrochemical protocol that cannot be used with the other 
type of test strip. 

The multichemistry test port has two electrically conductive indicator 
contacts that contact the bottom major surface of a test strip when the test strip 
is releasably engaged in the test port. The test strip is elongate and has a top 
major surface and a bottom major surface. The test strip for testing lactate has 
an indicator comprising a pattern made from an electrically conductive ink printed 
on the bottom major surface of the test strip. When a test strip for testing lactate 
is releasably engaged in the multichemistry test port, the electrically conductive 
indicator closes a circuit between the two electrically conductive indicator 
contacts, causing the multichemistry measuring device to perform an 
electrochemical assay for lactate. Conversely, the test strip for testing glucose 
does not possess an electrically conductive indicator capable of closing the 
circuit such that, when a test strip for testing glucose is releasably engaged in 
the multichemistry testing port, the circuit between the two electrically conductive 
indicator contacts remains open. When the circuit between the multichemistry 
test port's two electrically conductive indicator contacts remains open, the 
multichemistry measuring device performs an electrochemical assay for glucose. 

Differentiating Five Types of Test Strips 

In the previous example, a test port having two electrically conductive pins 
allowed for recognition of two alternative types of test strips having different 
functionalities. In this example, the use of three electrically conductive pins 
allows for recognition of five different types of test strips having different 
functionalities. As in the previous example, the test strip is elongate and has a 
top major surface and a bottom major surface. A pattern of electrically 
conductive ink is printed on the bottom major surface of the test strip. The test 



15 



WO 00/33074 



PCT/US99/27311 



port has three electrically conductive pins that come into contact with the printed 
pattern on the bottom major surface of the test strip when the test strip is 
reieasably engaged in the test port. 

The possible configurations of the printed pattern are illustrated in FIG. 1. 
In configuration A, there is no electrically conductive material present, and the 
indicator is "null." Thus, none of the circuits among the pins are closed by 
engaging the test strip within the test port. In configuration B, the electrically 
conductive indicator pattern shorts pins 1 and 2, thereby closing the circuit 
between these pins. In configuration C, the electrically conductive indicator 
pattern shorts pins 1 and 3, thereby closing the circuit between these pins. In 
configuration D, the electrically conductive indicator pattern shorts pins 2 and 3, 
thereby closing the circuit between these pins. Finally, in configuration E, the 
circuits between all three pins are closed. 

In general, a test port with N electrically conductive pins can recognize 2 N 
- N different configurations of indicators. 

FIG. 4 depicts a cross section of a side view of a test port 400 engaged 
with a test strip 420 having electrically conductive indicators. The test port 400 
includes electrically conductive pins 440 that are brought into electrical 
communication with the bottom major surface of test strip 420 when the test strip 
420 is reieasably engaged in the test port 400. The test port 400 also includes 
assay electrodes 460 that are (Drought into electrical communication with the top 
major surface of the test strip 420 when the test strip 420 is reieasably engaged 
in the test port 400. 

Mechanically Detectable Indicator Patterns 

In this example, the test strip is elongate and has a top major surface and 
a bottom major surface. The test strip contains an indicator comprising zero or 



16 



WO 00/33074 



PCT/US99/2731 I 



more projections on the bottom major surface thereof. The projection(s), if any, 
mechanically engage at least one pin in the test port. In the embodiment 
illustrated in FIGS. 2a-2d, the indicator pattern is determined by the presence or 
absence of projections in two specific locations. Upon insertion of the test strip 
into the test port, the projection(s) mechanically engage a sensor comprising two 
pins. In FIG. 2a, the indicator comprises two projections, which displace both 
pins. In FIG. 2b, the indicator comprises only a first projection, with the second 
projection is absent, resulting in only the first pin being displaced. In FIG. 2c, the 
indicator comprises only a second projection, with the first projection absent, 
resulting in only the second pin being displaced. In FIG. 2d, both projections are 
absent and neither pin is displaced upon insertion of the test strip into the test 
port. 

In general, a test port that can detect projections or depressions at N 
spots can recognize 2 N different indicators. 

FIG. 5 depicts a cross section of a side view of a test port 500 engaged 
with a test strip 520 having electrically conductive indicators. The test port 500 
includes flexible pins 540 that can be biased into electrical communication with 
relatively static pins 580 by an indicator 522 on the bottom major surface of the 
test strip 520 when the test strip 520 is releasably engaged in the test port 500. 
The test port 500 also includes assay electrodes 560 that are brought into 
electrical communication with the top major surface of the test strip 520 when the 
test strip 520 is releasably engaged in the test port 500. 

Optically Detectable Indicator Patterns 

As in the previous examples, the test strip is elongate and has a top major 
surface and a bottom major surface. A printed pattern is on the bottom major 
surface of the test strip. In this example, the test port has two optical sensors 



17 



WO 00/33074 



PCT/US99/273I1 



capable of detecting the presence or absence of a printed pattern at two different 
locations on the bottom major surface of the test strip by measuring absorbance 
and/or reflectance of light at those locations. As illustrated in FIG. 3, this 
example allows for four (4) different configurations: (a) both locations "off, (b) 
first location "on" and second location "off 1 , (c) first location "off' and second 
location "on", and (d) both locations "on". 

In general, a test port that can optically detect absorbance and/or 
reflectance at N locations can recognize 2 N different configurations of indicators. 

Resistance-based Indicators 

As in the previous examples, the test strip is elongate and has a top major 
surface and a bottom major surface. An indicator is on the bottom major surface 
of the test strip. In this example, the test port has two electrically conductive 
pins, which are bridged by the bottom major surface of the test strip when the 
test strip is releasably engaged in the test port. The measuring device is capable 
of measuring the resistance across the pins. The resistance measured can 
serve to indicate the type of test strip being used. If the support material is non- 
conductive, the lack of an additional indicator material can serve as a "null" 
indicator. 

In general, a test port that measures resistance can recognize an 
arbitrarily large number of different indicators. The test port is limited only by its 
capacity to distinguish between gradations in resistance. 

Equivalents 

The invention may be embodied in other specific forms without departing 
from the spirit or essential characteristics thereof. The foregoing embodiments 
are therefore to be considered in all respects illustrative rather than limiting on 



18 



WO 00/33074 



PCT/US99/273U 



the invention described herein. The scope of the invention is therefore indicated 
by the appended claims rather than by the foregoing description, and all changes 
which come within the meaning and range of equivalency of the claims are 
therefore intended to be embraced thereby. 



19 



WO 00/33074 



PCT/US99/2731 1 



What is claimed is: 

1 . A test strip for chemical analysis of a sample, adapted for use in 
combination with a measuring device having a test port and capable of 
performing a multiplicity of testing functionalities, said test strip comprising: 

(a) a support capable of releasably engaging said test port; 

(b) at least one reaction area on said support for receiving said 
sample; and 

(c) an indicator capable of interacting with said test port to select at 
least one of said multiplicity of testing functionalities of said measuring device. 

2. The test strip of claim 1 , wherein said indicator comprises one or 
more electrically conductive indicator contacts capable of engaging at least two 
electrically conductive pins within said test port, thereby selecting at least one of 
said multiplicity of testing functionalities of said measuring device. 

3. The test strip of claim 1 , wherein said indicator comprises one or 
more electrically conductive indicator contacts capable of engaging at least two 
electrically conductive pins within said test port, thereby closing a circuit between 
said at least two electrically conductive pins, thereby selecting at least one of 
said multiplicity of testing functionalities of said measuring device. 

4. The test strip of claim 1 , wherein said indicator comprises one or 
more projections on said support capable of mechanically engaging one or more 
pins within said test port, thereby selecting at least one of said multiplicity of 
testing functionalities of said measuring device. 

5. The test strip of ciaim 4, wherein said projections displace one or 
more of said pins. 



20 



WO 00/33074 



PCT/US99/2731 1 



6. The test strip of claim 1 , wherein said indicator comprises one or 
more depressions on said support capable of mechanically engaging one or 
more pins within said test port, thereby selecting at least one of said multiplicity 
of testing functionalities of said measuring device. 

7. The test strip of claim 6, wherein one or more of said pins may be 
displaced into said depressions. 

8. The test strip of claim 6, wherein said depressions define one or 
more holes. 

9. The test strip of claim 1 , wherein said indicator comprises an 
optically detectable pattern capable of signaling or being detected by an optical 
detector in said test port, thereby selecting at least one of said multiplicity of 
testing functionalities of said measuring device. 

10. The test strip of claim 2, wherein said indicator contacts comprise a 
material selected from the group consisting of carbon, gold, silver, platinum, 
nickel, palladium, titanium, copper, and lead. 

1 1 . The test strip of claim 10, wherein said material is a printable ink. 

1 2. The test strip of claim 1 , wherein said sample is a bodily fluid. 

13. The test strip of claim 1 , wherein said chemical analysis comprises 
measuring in said sample the concentration of a compound selected from the 
group consisting of L-amino acids, alcohols, aldehydes, ketones, urea, 
creatinine, xanthines, sarcosine, glucolate, pyruvate, lactate, fructosamine, 
methylamine, carbon monoxide, cholesterol, hemoglobin, glycated hemoglobin, 
microalbumin, high density lipoproteins, and low density lipoproteins. 



21 



WO 00/33074 



PCT/US99/2731 1 



14. The test strip of claim 1 , wherein said compound is glucose. 

15. The test strip of claim 1 t wherein said reaction area comprises one 
or more reagents adsorbed to said support, said reagent capable of reacting with 
a compound in said sample. 

1 6. The test strip of claim 1 5, wherein said reagent is selected from the 
group consisting of glucose oxidase, lactate dehydrogenase, peroxidase, and 
galactose oxidase. 

1 7. The test strip of claim 1 , further comprising a multiplicity of 
electrically conductive testing contacts capable of transferring current between 
said reaction area and said measuring device. 

1 8. The test strip of claim 1 7, wherein said testing contacts comprise a 
material selected from the group consisting of carbon, gold, silver, platinum, 
nickel, palladium, titanium, copper and lead. 

1 9. The test strip of claim 1 8, wherein said material is a printable ink. 

20. The test strip of claim 17, wherein said testing contacts are located 
on a first major surface of said test strip and said indicator contacts are located 
on a second major surface of said test strip. 

21. The test strip of claim 17, wherein said testing contacts and said 
indicator contacts are located on the same surface of said test strip. 

22. A test port for use in a measuring device capable of performing a 
multiplicity of testing functionalities and adapted for use in combination with a 
multiplicity of different types of test strips, each of said types of test strips 

22 



WO 00/33074 



PCT/US99/27311 



corresponding to at least one of said testing functionalities, and at least some of 
said types of test strips having indicators of said testing functionality thereon, 
said port comprising a sensor capable of specifically interacting with said 
indicators on said test strips, thereby selecting at least one of said multiplicity of 
testing functionalities corresponding to a test strip. 

The test port of claim 22, wherein said indicators are electrically 
and said sensor comprises a multiplicity of electrically conductive 

The test port of claim 23, wherein at least two of said electrically 
pins may be bridged by said indicators, thereby closing an electrical 

The test port of claim 22, wherein said indicators comprise 
or depressions on said test strips and said sensor is a mechanical 

26. The test port of claim 25, wherein at least a portion of said 
mechanical sensor may be physically displaced by said indicators, thereby either 
closing an electrical circuit or opening an electrical circuit. 

27. The test port of claim 22, wherein said indicators are optically 
detectable and said sensor is an optical sensor. 

28. A measuring device having a multiplicity of testing functionalities for 
chemical analysis, adapted for use in combination with a multiplicity of different 
types of test strips, each of said types of test strips corresponding to at least one 
of said testing functionalities, and at least some of said types of test strips having 
indicators of said testing functionality thereon, said device comprising: . 



23. 

conductive 
pins. 



24. 

conductive 
circuit. 

25. 

projections 
sensor, 



23 



WO 00/33074 



PCT/US99/27311 



(a) a test port comprising a sensor capable of interacting with said 
indicators on said test strips to select at least one of said multiplicity of testing 
functionalities; and 

(b) a multiplicity of test circuitries for specifically measuring reactions 
on said test strips corresponding to said multiplicity of testing functionalities. 



24 



WO 00A33074 



PCT/US99/2731 J 



1/4 



FIG. 1A 




FIG. IB 



FIG. 1C 



FIG. ID 




FIG. IE 



WO 00/33074 



PCT/US99/27311 



2/4 




FIG. 3A 



□ 



FIG. 3B 



FIG. 3C 



FIG. 3D 



WO 00/33074 



PCT/US99/2731 1- 



4/4 



o 

CM 



o 

CM • 




INTERNATIONAL SEARCH REPORT 



Inter ^nal Application No 

PCT/US 99/27311 



A. CLASSIFICATION OF SUBJECT MATTER , 

IPC 7 G01N33/52 B01L3/00 



According to International Patent Classification (IPC) or to both national class! ficatlon and IPC 



B. FIELDS SEARCHED 



Minimum documentation searched (classification system followed by classification symbols) 

IPC 7 G01N BOIL 



Documentation searched other than minimum documentation to the eident that auch documents are Included in the fields searched 



Electronic data base consulted during the International search (name ol data base and, where practical, search terms used) 



C. DOCUMENTS CONSIDERED TO BE RELEVANT 



Category • Citation ol document, with indication, where appropriate, ol the relevant passages 



Relevant to claim No. 



4; claims 



WO 96 13707 A (CONNOLLY JAMES) 
9 May 1996 (1996-05-09) 

page 3, line 12 -page 4, line "22 
page 6, line 23 -page 7, line 22 
page 9, line 7 -page 15, line 25 
page 18, line 3 -page 19, line 4 

US 5 281 395 A (MARK ART ERNST ET AL) 
25 January 1994 (1994-01-25) 

the whole document 

WO 98 05424 A (CHOW CALVIN Y H ;CALIPER 
TECHN CORP (US) ) 
12 February 1998 (1998-02-12) 
claims; figures 

-/~ 



1,9, 

13-16, 

22,27,28 



1,9,12, 

15,22, 

27,28 



1,22,27, 
28 



X Further documents are listed in the continuation of box C. 



Patent family members are listed in annex. 



• Special categories of cited documents : 

"A" document defining the general state of the art which is not • 
considered to be of particular relevance 

"E" earlier document but published on or after the international 
filing date 

"L" document which may throw doubts on priority claim(s) or 
which is cited to establish the publication date ol another 
citation or other special reason (as speed led) 

"O" document referring to an oral disclosure, use, exhibition or 
other means 

"P" document published prior to the international filing date but 
later than the priority date claimed 



T later document published after the International filing date 
or priority date and not in conflict with the application but 
cited to understand the principle or theory underlying the 
invention 

"X" document of particular relevance; the claimed invention 
cannot be considered novel or cannot be considered to 
involve an inventive step when the document is taken alone 

"Y" document of particular relevance: the claimed invention 

cannot be considered to involve an inventive step when the 
document is combined with one or more other such docu- 
ments, such combination being obvious to a person skilled 
in the art. 

"&' document member of the same patent family 



Data of the actual completion of the international search 

21 March 2000 


Date ot mailing of the International search report 

29/03/2000 


Name and mailing address of the ISA 

European Patent Office. P.B. 5818 Patentlaan 2 
NL - 2280 HV Ri]swijk 
Tel. (+31-70) 340-2040. Tx. 31 651 epo nl, 
Fax: (+31-70) 340-3016 


Authorized officer 

Luzzatto, E 



Foim PCT/tSA/210 (second shoel) (July 1992) 



page 1 of 2 



INTERNATIONAL SEARCH REPORT 



Into .onal Application No 

PCT/US 99/27311 



C.<Continuation) DOCUMENTS CONSIDERED TO BE RELEVANT 



Category • Citation ot document, with indlcatton.where appropriate, of the relevant passages 



Relevant to dalm No. 



EP 0 837 320 A (BAYER AG) 

22 April 1998 (1998-04-22) 

column 4, line 35 -column 8, line 30; 

claims 

GB 2 254 436 A (WILSON ROBERT) 

7 October 1992 (1992-10-07) 

whole document, esp. p. 4, 1. 23-26 and 

claims 

EP 0 840 122 A (BAYER AG) 

6 May 1998 (1998-05-06) 

column 4, line 7 -column 5, line 44; 

claims; figures 3,4 

EP 0 006 031 A (EASTMAN KODAK CO) 
12 December 1979 (1979-12-12) 
page 2, line 14 -page 3, line 17 
page 6, line 5 - line 35; claims 

EP 0 351 891 A (MEDISENSE INC) 
24 January 1990 (1990-01-24) 
abstract; claims 

EP 0 377 503 A (EASTMAN KODAK CO) 
11 July 1990. (1990-07-11) 
the whole document 

EP 0 567 067 A (FUJI PHOTO FILM CO LTD) 

27 October 1993 (1993-10-27) 

column 14, line 41 - line 49; claims 



1,9,15, 
22,27,28 



1,28 



4-8,25, 
28 



4-8,25, 
28 



10,11 



4-8,25, 
26 



4-8,25, 
26 



Form PCT/lSA/210 (continuation of second sheet) (July 1992) 



page 2 of 



2 



INTERNATIONAL SEARCH REPORT 

Information on patent family members 



trttet anal Application No 

PCT/US 99/27311 



Patent document 


Publication 


Patent family 


Publication 


cited in search report 


date 


member(s) 


date 



WO 9613707 



09-05-1996 



US 5597532 A 
DE 69511533 0 
EP 0750739 A 



28-01-1997 
23-09-1999 
02-01-1997 



US 5281395 A 25-01-1994 



DE 


4041905 A 


02- 


-07- 


-1992 


AT 


119292 T 


15- 


-03- 


-1995 


DE 


59104792 D 


06- 


-04- 


-1995 


EP 


0492326 A 


01- 


-07- 


•1992 


ES 


2071198 f 


16- 


-06- 


-1995 


GR 


3015727 T 


31- 


-07- 


-1995 


JP 


7005109 A 


10- 


-01- 


•1995 


JP 


7035998 B 


• 19- 


-04- 


•1995 



W0 9805424 A 12-02-1998 AU 3815697 A . 25-02-1998 

CA 2259929 A 12-02-1998 

CN 1226845 A 25-08-1999 

EP 0952890 A 03-11-1999 

US 5955028 A 21-09-1999 



EP 0837320 A 22-04-1998 



US 
AU 
CA 
OP 
NO 



5945341 
4190097 
2216678 
10132734 
972724 



GB 2254436 A 07-10-1992 



EP 
W0 
JP 



0578669 A 
9217778 A 
6506144 T 



31-08-1999 
23-04-1998 

21- 04-1998 

22- 05-1998 
22-04-1998 

19-01-1994 
15-10-1992 
14-07-1994 



EP 0840122 A 06-05-1998 



US 
AU 
CA 
JP 
NO 



5856195 
4357897 
2217312 
10132777 
973220 



05-01-1999 
07-05-1998 
30-04-1998 
22-05-1998 
04-05-1998 



EP 0006031 A 12-12-1979 US 4279861 A 21-07-1981 

US 4142863 A 06-03-1979 

JP 1353407 C 11-12-1986 

JP 54160296 A 18-12-1979 

JP 61018986 B 15-05-1986 

US RE30595 E 28-04-1981 



EP 0351891 A 24-01-1990 



Form PCT/1SA/210 (patem tamAy annex) (July 1 992) 



GB 


2154003 


A 


29-08-1985 


AU 


572138 


B 


05-05-1988 


AU 


2775584 


A 


08-11-1984 


CA 


1226036 


A 


25-08-1987 


DE 


3485554 


A 


16-04-1992 


DE 


3486221 


D 


04-11-1993 


DE 


3486221 


T 


27-01-1994 


EP 


0127958 


A 


12-12-1984 


EP 


0351892 


A 


24-01-1990 


JP 


9325127 


A 


16-12-1997 


JP 


7072727 


B 


02-08-1995 


JP 


60017344 


A 


29-01-1985 


US 


5682884 


A 


04-11-1997 


US 


5727548 


A 


17-03-1998 


US 


5820551 


A 


13-10-1998 


AU 


616169 


B 


24-10-1991 



page 1 of 2 



INTERNATIONAL SEARCH REPORT 

Information on patent family members 



Inti .lonal Application No 

PCT/US 99/27311 



Patent document 




Publication 




Patent family 




Publication 


cited in search report 




date 




member{s) 




date 


EP 0351891 


A 

r\ 


AU 


1239188 


A 


07-07-1988 






US 


5509410 


A 


23-04-1996 






AU 


569076 


B 


21-01-1988 






AU 


2775384 


A 


08-11-1984 






AU 


580257 


B 


12-01-1989 






AU 


2775484 


A 


08-11-1984 






CA 


1219040 


A 


10-03-1987 






CA 


1223638 


A 


30-06-1987 






CA 


1218704 


A 


03-03-1987 






CA 


1220818 


A 


21-04-1987 






EP 


0125867 


A 


21-11-1984 






EP 


0125136 


A 


i A 11 1 An Jl 

14-11-1984 ! 






EP 


0125137 


A 


14-11-1984 






EP 


0125139 


A 


14-11-1984 






US 


4758323 


A 


19-07-1988 






US 


4711245 


A 


08-12-1987 


EP 0377503 


A 


11-07-1990 


US 


4948737 


A 


14-08-1990 






JP 


2231542 


A 


13-09-1990 


EP 0567067 


A 


27-10-1993 


JP 


2903273 


B 


07-06-1999 






JP 


6213903 


A 


05-08-1994 






DE 


69319272 


D 


30-07-1998 






DE 


69319272 T 


05-11-1998 






US 


5538688 A 


23-07-1996 



Form PCT/ISA/210 (patent family annex) (July 1992) 



page 2 of 2